Individual provider Active NPI

Shaun Milby, APRN

  • Family Nurse Practitioner
  • Elizabethtown, KY
National Provider Identifier
1043686371
Registry record updated Aug 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3009666 Issued in KY
Practice address
2411 Ring Rd
Suite 114
Elizabethtown, KY 42701-5929
Phone
(270) 706-1925
Fax
(270) 706-1926
NPI assigned
Aug 21, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3009666 KY Primary

Addresses

Primary practice location

2411 Ring Rd
Suite 114
Elizabethtown, KY 42701-5929

Mailing address

2411 Ring Rd
Suite 114
Elizabethtown, KY 42701-5929
Phone (270) 706-1925

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150915002114 KY Practitioner - Nurse Practitioner 3476860008 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, shared by 31 NPIs, 2,431 clinicians
PT Pros, IncGroup PAC ID 0143139337, shared by 14 NPIs, 263 clinicians

Practice addresses (Care Compare)

1111 Ring Rd
Elizabethtown, KY 42701-4900
Phone (270) 706-1111

2411 Ring Rd
Suite 105
Elizabethtown, KY 42701-5930
Phone (270) 706-5265

4031 N Dixie Hwy
Suite 104
Elizabethtown, KY 42701-7873
Phone (270) 982-4776

Hospital & facility affiliations

  • Family Home Health Care, LLC Dba Adoration Home Health Home health agency, Columbia, KY, CCN 187119
  • Baptist Health Hardin Hospital, Elizabethtown, KY, CCN 180012

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Sep 1, 2020 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Sep 1, 2020 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Sep 1, 2020 Accepting new patients

Locations

1009 N Mulberry St
Elizabethtown, KY 42701
Phone (270) 979-7109

913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212

2411 Ring Rd
Ste 114
Elizabethtown, KY 42701
Phone (270) 706-1925

2411 Ring Rd
Ste 105
Elizabethtown, KY 42701
Phone (270) 706-5265

1111 Ring Rd
Elizabethtown, KY 42701
Phone (270) 706-5010

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

1360 Rogersville Rd
Radcliff, KY 40160
Phone (270) 351-1150

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1440115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440460800000",
    "number": "1043686371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 RING RD",
            "address_2": "SUITE 114",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427015929",
            "telephone_number": "270-706-1925",
            "fax_number": "270-706-1926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 RING RD",
            "address_2": "SUITE 114",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427015929",
            "telephone_number": "270-706-1925",
            "fax_number": "270-706-1926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILBY",
        "first_name": "SHAUN",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-21",
        "last_updated": "2015-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3009666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

Verify at the official NPI Registry.